Robot-assisted laparoscopic radical prostatectomy after fluoroquinolone resistant Escherichia coli sepsis following a transrectal ultrasonography-guided prostate biopsy

The incidence of febrile urinary tract infection after transrectalultrasonography-guided prostate biopsy has been reported to rangefrom 0.1% to 7%, with Escherichia coli being the most commonorganism identified. The conventional wisdom is to recommendan interval of more than 4 to 6 weeks after the t...

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Veröffentlicht in:Canadian Urological Association journal 2013-04, Vol.5 (4), p.56
Hauptverfasser: Park, Seung Chol, Lee, Jea Whan, Rim, Joung Sik
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Lee, Jea Whan
Rim, Joung Sik
description The incidence of febrile urinary tract infection after transrectalultrasonography-guided prostate biopsy has been reported to rangefrom 0.1% to 7%, with Escherichia coli being the most commonorganism identified. The conventional wisdom is to recommendan interval of more than 4 to 6 weeks after the transrectal prostatebiopsy before treating patients with radical prostatectomy. Thisallows time for resolution of the biopsy-induced inflammation,which might complicate the surgical planes for dissection. Wepresent a 58-year-old man with an elevated prostate-specific antigen,who developed near-fatal sepsis following transrectal ultrasonography-guided prostate biopsy despite quinolone prophylaxis.The patient underwent a robot-assisted laparoscopic radical prostatectomy31 days after the prostate biopsy.
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title Robot-assisted laparoscopic radical prostatectomy after fluoroquinolone resistant Escherichia coli sepsis following a transrectal ultrasonography-guided prostate biopsy
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